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General NPI Number Information
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NPI Number | 1528251394
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Entity Type | Organization
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Legal Business Name | MOBILITY ADVANTAGE, INC.
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 6634 TOPPER RUN STE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78233-3894
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Country | US
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Telephone | 210-599-1339
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Fax | 210-599-2771
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Provider Business Mailing Address
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Address Line | 6634 TOPPER RUN STE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78233-3894
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Country | US
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Telephone | 210-599-1339
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Fax | 210-599-2771
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GLADYS N. ANDERSON
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Credential |
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Telephone | 210-599-1339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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